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Ready to head back to theatres? Watch: Herniated Disc Video. As with so many things, the answer is incomplete. Yes, your symptoms may resolve, but this does not necessarily mean the herniated disc itself has healed. See Typical Symptoms of a Herniated Disc. Discs herniate either by rupturing the outer layer of the disc called the annulus, or breaking the endplate off the vertebral body Rajasekaran, Spine , allowing the soft gel-like center the nucleus pulposus to ooze out.
This gel can pinch or compress parts of the nerve sac, causing pain. The herniated nucleus pulposus contains inflammatory proteins that can cause enough inflammation to affect the nearby nerve and cause what is commonly known as sciatica , or a radiculopathy. The good news is that the body will repair itself, provided the conditions are right and the injury is not too severe.
However, if the pain persists, the spinal segment is not moving and over time it can become stiff and immobile and prevent the healing mechanism from working normally. Manual therapists work with patients in a number of ways.
When someone presents with a herniated disc, we look at the overall function of the body. We can use stretching techniques to ease the muscle spasm and then we use our hands to move the joints, to mobilise them. A herniated disc is not purely about the spine. As an Osteopath, I look at the hips and the whole body.
If one part of the body is not moving properly, this can mean that certain movements and thus additional forces pass through the back e. That puts excessive forces on the discs and they can herniate. So we look at those imbalances and work on them. Once we get movement back in the spine and start to address structural imbalances, simple exercises to strengthen the muscles will help to support the spine and ease pressure on the disc.
That creates an environment for the body to heal itself and repair the injured disc. Disc herniation usually occurs at a specific level. The spinal segments are extremely strong and if they become stiff over a long period of time, it can be difficult to take the pressure off the disc and get the segment moving again. IDD Therapy is a mechanical tool which allows us to decompress and mobilise targeted spinal segments. It was developed to address the failings of earlier traction treatment and the key with IDD Therapy is it works at the specific spinal segment.
Then using computer-controlled pulling forces, IDD Therapy directs a pulling force to a targeted level to gently open the space between two vertebrae and to relieve pressure on the disc and nerves. At the same time, the system gently oscillates the forces, meaning the soft tissues are both stretched and mobilised. The combination of decompression and mobilisations helps to take the pressure off the disc and restore mobility.
The treatment forces applied are progressively increased as the body adapts. The good news is IDD Therapy is extremely comfortable and suitable for people of all ages.
Some patients even go to sleep! IDD Therapy is combined with manual therapy and exercise and patients have a course of treatments over a six week period. The aim is to relieve pain and create a platform for long term healing. IDD Therapy is suitable for most patients with an unresolved herniated disc. The exceptions being if people are pregnant have metal implants in their spine or they have severe osteoporosis. If a patient has severe weakness in their legs or the herniated disc is causing incontinence, then we would refer them immediately to a consultant.
Surgery is a last resort to treat a herniated disc when manual therapy and IDD Therapy have not brought about change. When the pain is so severe and unresolved, or if the nerve pain is causing weakness in the leg, then surgery can be carried out to remove the part of the disc pushing on the nerve.
Surgery can relieve the leg pain instantly, however it is not given routinely because there are risks and it does not address the underlying causes of the compression, immobility in the spine and weakness. Hence it is so important to have full rehab when a patient undergoes surgery for a herniated disc. If weakness and a lack of movement contributed to the disc herniation, it goes without saying that certain lifestyle changes will make a big impact on preventing a recurrence of the problem.
Gentle activity like walking helps, or specific exercise classes to stay flexible and strong, such as pilates may benefit. Of course, we want people to be more aware of their posture and hydration. Most people fully recover from a herniated disc and it is important people get the right advice from a registered professional. The goal of most practitioners is to help people out of pain and onto a path of long term wellbeing.
Great article! I enjoyed it my back still hurts of course, but, what? I currently have a herniated l5 s1 that is causing numbness in my legs and lots of pain. I see my spine doctor in 4 days and i am hoping he will give IDD therapy a shot.
I would rather not have surgery but at this point i just want whatever works. Your doctor also will ask you about your medical history and your symptoms. They will be interested in when you first felt symptoms and what activities cause your pain to worsen.
Imaging tests can help your doctor view the bones and muscles of your spine and identify any damaged areas. Examples of imaging scans include:. Your doctor can combine all these pieces of information to determine what is causing your pain, weakness, or discomfort. An untreated, severe slipped disc can lead to permanent nerve damage. In very rare cases, a slipped disc can cut off nerve impulses to the cauda equina nerves in your lower back and legs.
If this occurs, you may lose bowel or bladder control. Another long-term complication is known as saddle anesthesia. In this case, the slipped disc compresses nerves and causes you to lose sensation in your inner thighs, the back of your legs, and around your rectum.
While the symptoms of a slipped disc may improve, they also can worsen. Treatments for a slipped disc range from conservative to surgical. Most people can relieve slipped disc pain using an exercise program that stretches and strengthens the back and surrounding muscles. A physical therapist may recommend exercises that can strengthen your back while reducing your pain. Taking over-the-counter pain relievers and avoiding heavy lifting and painful positions can also help.
Shop for OTC pain relievers now. Instead, try to remain as active as possible through stretching or low-impact activities such as walking. If your slipped disc pain does not respond to over-the-counter treatments, your doctor may prescribe stronger medications. These include:. Your doctor may recommend surgery if your symptoms do not subside in six weeks or if your slipped disc is affecting your muscle function.
Your surgeon may remove the damaged or protruding portion of the disc without removing the entire disc. This is called a microdiskectomy. In more severe cases, your doctor may replace the disc with an artificial one or remove the disc and fuse your vertebrae together.
This procedure, along with a laminectomy and spinal fusion , adds stability to your spinal column.
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